(PLEASE TYPE OF YOUR COMPANY LETTERHEAD)

 

 

Date:

 

To Whom It May Concern:

The Eric Ryan Corporation (ERC) is hereby engaged and authorized to act as agent and consultant for the undersigned in all maters pertinent to our utility and/or telecommunications services.

Customer:

Federal Tax ID #:

Address:

 

Accounts #(s):

 

You are authorized and requested to respond to ERC in all matters pertaining to our account with your company.  We request that you provide ERC with billing records, equipment records, service records, or any additional information deemed necessary by ERC.  Eric Ryan is authorized to discuss all matters regarding our account, and ERC is authorized to issue orders and requests on our behalf.  This letter of authorization is valid until nofitied in writing by customer.

Agreed:

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SIGNATURE

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PRINTED NAME

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TITLE

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DATE